Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$16.86 with Superior Health Plan vs $240.82 with Unicare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $16.86 | — |
| Superior Health Plan | STARKids | $16.86 | — |
| Superior Health Plan | STARHealth | $16.86 | — |
| Superior Health Plan | MCDSTAR | $16.86 | — |
| Superior Health Plan | CHIP | $16.86 | — |
| BCBS | MCRPPO | $24.64 | — |
| BCBS | MGMCRHMO | $24.64 | — |
| WellMed | MGMCR | $24.81 | — |
| Devoted Health | PPO | $24.93 | — |
| Devoted Health | SNP | $24.93 | — |
| Devoted Health | HMO | $24.93 | — |
| Amerigroup | DualEligible | $24.93 | — |
| Devoted Health | MME | $24.93 | — |
| Devoted Health | MCR | $24.93 | — |
| TriWest Health Alliance | FEDERAL | $24.93 | — |
| Mutual of Omaha | MGMCR | $24.93 | — |
| Devoted Health | POS | $24.93 | — |
| Humana | MGMCR | $24.93 | — |
| United | MGMCR | $25.05 | — |
| Aetna | MCR | $25.14 | — |
| Care N Care | MGMCR | $25.18 | — |
| Cigna Healthspring | MGMCR | $25.43 | — |
| WellCare | MGMCR | $25.68 | — |
| Integranet | MGMCR | $25.68 | — |
| Superior Health Plan | MGMCRPPO | $26.18 | — |
| ProCare Advantge | MCR | $26.18 | — |
| American Health Plan of Texas, Inc. | MGMCR | $26.18 | — |
| Superior Health Plan | MGMCRHMO | $26.18 | — |
| Superior Health Plan | MGMCRDualEligible | $26.18 | — |
| Superior Health Plan | MGMCRPFFS | $26.18 | — |
| Superior Health Plan | MGMCRPOS | $26.18 | — |
| Superior Health Plan | MGMCRSNP | $26.18 | — |
| Provider Partners Health Plan | MCR | $26.43 | — |
| Texas Independent Health Plan | MGMCR | $26.43 | — |
| Humana | Tricare | $27.16 | — |
| Molina | MMP | $27.17 | — |
| Molina | MME | $27.17 | — |
| Molina | MCR | $27.17 | — |
| Imperial Insurance Company | MCR | $27.42 | — |
| Universal Healthcare Group | MCR | $29.92 | — |
| Verda Health Plan | MGMCR | $32.41 | — |
| Cigna | IFP | $32.51 | — |
| Cigna | QHP | $33.71 | — |
| Bravo Health | MCRPFFS | $37.39 | — |
| Bravo Health | MCRSNP | $37.39 | — |
| Bravo Health | MCRPPO | $37.39 | — |
| Bravo Health | MCRPOS | $37.39 | — |
| Bravo Health | MCRHMO | $37.39 | — |
| Superior | ValueHMO | $44.62 | — |
| USA Managed Care | WORKERSCOMP | $47.37 | — |
| United | OptionsPPO | $47.92 | — |
| Corvel Corporation | WORKERSCOMP | $49.36 | — |
| Oscar | HIX | $50.09 | — |
| Superior | EPO | $55.84 | — |
| Superior | HMO | $55.84 | — |
| Unicare | CHIP | $57.80 | — |
| Molina Healthcare | HIX | $65.32 | — |
| BCBS | BluePremier | $73.99 | — |
| Healthcare Highways | CityofPlano | $81.40 | — |
| BCBS | BlueAdvantageHMO | $86.21 | — |
| BCBS | MyBlueHealth | $86.21 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | Traditional | $106.92 | — |
| Fidelis SecureCare | MGMCR | $108.37 | — |
| City of McKinney | COMM | $108.37 | — |
| National ChoiceCare | WCOMP | $120.41 | — |
| Aetna | ASA | $126.91 | — |
| Aetna | WCOMP | $132.45 | — |
| Rockport Health Group | WORKERSCOMP | $132.45 | — |
| Physicians Coop of TX | MGMCR | $132.45 | — |
| PC Texas Partners | WCOMP | $132.45 | — |
| Averde Health, Inc | PPO | $139.68 | — |
| Aetna | NewBusiness | $143.00 | — |
| USC Health Services | COMM | $144.49 | — |
| BCBS | BlueEssentials | $152.67 | — |
| BCBS | BlueEssentialsAccess | $152.67 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| BCBS | EPOSOA | $160.20 | — |
| BCBS | PPO | $167.72 | — |
| Mega Life | MGMCRPPO | $168.57 | — |
| Jostens | WCOMP | $168.57 | — |
| Coastal Comp Health Networks | WCOMP | $168.57 | — |
| Multiplan PHCS | PrimaryNetwork | $168.57 | — |
| Aetna Coventry First Health | COMM | $175.08 | — |
| Aetna | OON | $179.00 | — |
| HealthSmart Preferred Care | PPO | $180.62 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $180.62 | — |
| USA Managed Care | COMM | $192.66 | — |
| Galaxy Health Network | PPO | $204.70 | — |
| Humana | COMM | $216.61 | — |
| Independent Medical Systems | COMM | $240.82 | — |
| National Healthcare Solutions | COMM | $240.82 | — |
| Unicare | MCD | $240.82 | — |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $274.83 | $120.70 – $120.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $125.24 | $35.48 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $149.57 | $30.79 – $224.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $143.44 | $28.69 – $179.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $125.24 | $33.40 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $149.57 | $48.01 – $224.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $149.57 | $77.28 – $224.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $143.44 | $47.81 – $215.15 |